Doctor Name: | KATHERINE SNOW RUTT |
NPI Number: | 1073980207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00583300 |
Business Practice Address: | 4 Schalks Crossing Rd Plainsboro, NJ - 085361604 |
Business Phone Number: | 6092759312 |
Business Fax Number: | |
Mailing Address: | 1405 Kathy Dr, YARDLEY |
State: | PA |
Postal Code: | 190671716 |
Phone Number: | 6037701272 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2015 |
NPI Last Update Date: | 08/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00583300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |